GSA SRPP SECTION: DEFINITION BUSINESS CASE AND IMPLEMENTATION OF PERSON-CENTERED CARE

摘要

Person-Centered Care (PCC) is considered the “gold standard” of health care and has recently been highlighted in policy and practice. Previously, PCC has been limited by a lack of single definition and confusing language (i.e. patient-centered care, person-directed care, etc.) resulting in inconsistent operationalization in health and social service settings serving older adults. Through a recent collaboration between the American Geriatrics Society and a research team at the University of Southern California and the Keck School of Medicine of USC, a single, expert-informed definition of PCC and eight essential elements has been developed for older adults with chronic conditions and functional impairment. This session will present the consensus definition, essential elements, and research that lead to developing these pieces: large systematic literature review, qualitative study of how PCC is operationalized in a sample of outpatient health care and social services organizations serving older adults, and expert-panel conference. The next phase of this project was to develop the business case for PCC upon the foundation set by establishing the definition and common language for PCC. This work will be presented along with an interactive return on investment (ROI) calculator that we developed to help organizations estimate their financial risks and benefits of implementing PCC. Finally, the clinical perspective of implementing PCC in a primary care geriatrician’s practice will be presented. Discussing the challenges and benefits to providing PCC for older adults is important to shed light on the ideal vs. realistic provision of person-centered health care and social service support.